Monthly - Disabled Toilet Alarms Tests

• Site conducted

  Select

• Location

• Assessor's Name

• Date and Time

  Date

• Check alarm functions and the condition of the pull cords etc.

Panic Alarms

• Did all alarms operate correctly?

  Yes

  No

  N/A

• Were all pull cords in good condition and at a suitable height?

  Yes

  No

  N/A

• Did all alarms reset correctly?

  Yes

  No

  N/A

• Is any remedial action required?

  Yes

  No

  N/A

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• Signature

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